Friedman W H, Jelly E, Jelly P
J Fam Pract. 1978 May;6(5):1015-8.
Group psychotherapy may often be the treatment of choice for patients whose somatic symptoms are a reflection of interpersonal difficulties which are not of sufficient magnitude to warrant referral to a mental health professional. This type of treatment can be offered in the context of family practice, with benefit to both patient and physician. The physician may function as co-therapist with a more experienced group leader; it is essential, also, that competent supervision be available. Such a group was established in a family practice center; it met for 20 weekly sessions. Patient improvement ranged from minimal to considerable; in addition, the frequency of visits to the Center for essentially non-medical reasons decreased considerably, with the greatest decrease in such visits occurring 6 to 15 months after termination of group treatment. This is the first part in a four-part series dealing with group therapy in family medicine.
对于那些躯体症状反映出人际困难,但严重程度又不足以转诊至心理健康专业人员处的患者,团体心理治疗往往可能是首选的治疗方法。这种治疗可以在家庭医疗的背景下进行,对患者和医生都有益处。医生可以与经验更丰富的团体领导者共同担任治疗师;此外,必须要有称职的督导。这样一个团体在一家家庭医疗中心成立;每周会面一次,共进行了20次。患者的改善程度从轻微到显著不等;此外,因基本非医疗原因前往该中心就诊的频率大幅下降,在团体治疗结束后的6至15个月内,此类就诊次数下降最为明显。这是关于家庭医学中团体治疗的四部分系列文章的第一部分。